PU6-23229-26847
3 vaccinations
2 coded responses
12 check-ins
2 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 36-40
- ZIP prefix
- 749 / OK
- Registered
- 2022-01-24
- Relationship
- Other
- Guardian
- 3HX-33737-96647
- Race
- American Indian or Alaska Native
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-07-27
Dose 1 — Moderna
-
2021-08-24
Dose 2 — Moderna
-
2022-01-24
Registered in v-safe
-
2022-01-24
Dose 3 — Moderna
-
2022-01-24
Health check-in — day 0, dose 3, dependentFeeling: Fair · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2022-01-25
- 2022-01-26
- 2022-01-27
- 2022-01-28
- 2022-01-29
- 2022-01-30
-
2022-01-31
Survey response — day 7, dose 3, dependentMedDRA: COVID-19 — Feeling: GoodFree text: I got covid19MedDRA releases: 2024-11 · check-in free text available
- 2022-02-16
- 2022-02-21
- 2022-04-27
-
2022-07-25
Survey response — 6 months, dose 3, dependentMedDRA: COVID-19 — Feeling: Poor · Be unable to work or attend schoolFree text: Has covid19MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-27 | Moderna | No |
| 2 | 2021-08-24 | Moderna | No |
| 3 | 2022-01-24 | Moderna | No |
Free text
Release 11 — day 7, dose 3, dependent
Systemic reaction (other): I got covid19
Release 12 — 6 months, dose 3, dependent
Symptoms: Has covid19
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | COVID-19 | · | · | ✓ |
| SRO | COVID-19 | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release